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MR. LEE W BRADSHAW APRN
NPI 1588660773
Clinical Nurse Specialist - Psychiatric/Mental Health in Ogden, UT

Active since June 22, 2005PECOS Enrolled
3903 HARRISON BLVD, #300, OGDEN, UT 84403(801) 387-4930(801) 387-9470 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Lee W Bradshaw Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LEE W BRADSHAW APRN (NPI 1588660773) is an individual psychiatric/mental health provider in Ogden, Utah, licensed in Utah (6242996-4405) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588660773
Entity TypeIndividualMale
Primary Taxonomy364SP0808X
Provider Legal NameMR. LEE W BRADSHAWCredential: APRN
Location Address3903 HARRISON BLVD, #300Ogden, UT 84403-8440
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-5600 · Fax (801) 475-4720
Phone(801) 387-4930
Fax(801) 387-9470
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateJuly 12, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1588660773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in UT · 6242996-4405
3903 HARRISON BLVD, Ogden, UT 84403
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Lee W Bradshaw Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lee Bradshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Psychiatry
3903 HARRISON BLVD STE 300
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1538470737 (Utah)
  • 3,691 clinicians in this Medicare group
NPI 1659622033 (801) 387-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE NELSON
Speech-Language Pathologist
3903 HARRISON BLVD
OGDEN, UT 84403
Weber County (509) 750-3860
KALLIE DAWN MARTIN OTR
Occupational Therapist
3903 HARRISON BLVD, 400
OGDEN, UT 84403
Weber County (801) 387-2080
MS. MELISSA NELSON PTA
Physical Therapy Assistant
3903 HARRISON BLVD
OGDEN, UT 84403
Weber County (435) 716-5848
LAUREN WHITEHOUSE MALIK PT
Physical Therapist (Pediatrics)
3903 HARRISON BLVD, SUITE 400
OGDEN, UT 84403
Weber County (801) 387-2080
IHC HEALTH SERVICES, INC.
Clinic/Center (Ambulatory Surgical)
3903 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 387-3600
CAITLIN MILLER DPT
Physical Therapist
3903 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 387-2080
DR. RACHEL ROSE MORANO M.D.
Psychiatry & Neurology (Psychiatry)
3903 HARRISON BLVD, 300
OGDEN, UT 84403
Weber County (801) 387-5600
MEDICAL HEARING CLINIC, INC
Specialist
3903 HARRISON BLVD, # 201
OGDEN, UT 84403
Weber County (801) 399-5014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Bradshaw's NPI number?

The NPI number for Lee Bradshaw is 1588660773. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Lee Bradshaw located?

Lee Bradshaw practices at 3903 Harrison Blvd #300, Ogden, UT 84403. The listed phone number is (801) 387-4930.

What is Lee Bradshaw's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Lee Bradshaw enrolled in Medicare?

Yes. Lee Bradshaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Bradshaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Bradshaw reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Bradshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Bradshaw was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.